| Thrive Counseling Services, Llc | |
|
1401 Airport Pkwy Ste 210b Cheyenne WY 82001-1541 | |
| (307) 287-8882 | |
| Not Available |
| Full Name | Thrive Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 Airport Pkwy Ste 210b, Cheyenne, Wyoming |
| Authorized Official Name and Position | Laura Kietell (OWNER) |
| Authorized Official Contact | 3072878882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Counseling Services, Llc 1401 Airport Pkwy Ste 210b Cheyenne WY 82001-1541 Ph: (307) 287-8882 | Thrive Counseling Services, Llc 1401 Airport Pkwy Ste 210b Cheyenne WY 82001-1541 Ph: (307) 287-8882 |
| NPI Number | 1912487208 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/16/2018 |
| Medicare PECOS PAC ID | 6608288352 |
|---|---|
| Medicare Enrollment ID | O20210315000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912487208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Laura L Kietell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508016023 PECOS PAC ID: 2264676642 Enrollment ID: I20130925000593 |
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